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临床试验自动合成面临的开放性挑战。

Open challenges for the automatic synthesis of clinical trials.

作者信息

Sanchez-Graillet Olivia, Schmidt David M, Kullik Christian, Cimiano Philipp

机构信息

Semantic Computing Group, Center for Cognitive Interaction Technology, Bielefeld University, Inspiration 1, 33619, Bielefeld, NRW, Germany.

Faculty of Technology, Bielefeld University, Universitätsstraße 25, 33615, Bielefeld, NRW, Germany.

出版信息

BMC Res Notes. 2025 Feb 2;18(1):50. doi: 10.1186/s13104-025-07121-6.

Abstract

OBJECTIVE

An important criterion for selecting clinical trials to be compared in systematic reviews and meta-analyses is that they measure the same outcomes. However, this represents a challenge as there is a wide variety of outcomes, and it is difficult to standardize them for comparing clinical trials containing them. To address this challenge, we utilized our annotated dataset, which includes 211 abstracts of clinical trials related to glaucoma and type 2 diabetes mellitus. We then developed a tool that provides an overview of the annotated clinical trial information and enables users to group them by outcomes.

RESULTS

Using our visualization tool, we formed groups of outcomes and their respective clinical trials. We were able to determine the most common outcomes in clinical trials for these diseases. As a case study on diabetes, we compared our outcomes with those consented by diabetes stakeholders and found that many of the grouped outcomes are aligned with the consented ones. This demonstrates that tools such as the one presented can help standardize clinical outcomes, which in turn help in the synthesis of clinical trials. Finally, we also offer some recommendations that could help in the automation of clinical trials based on outcome standardization.

摘要

目的

在系统评价和荟萃分析中选择要进行比较的临床试验的一个重要标准是它们测量相同的结局。然而,这是一项挑战,因为结局种类繁多,而且对于包含这些结局的临床试验进行比较时,很难将它们标准化。为应对这一挑战,我们利用了我们的注释数据集,其中包括211篇与青光眼和2型糖尿病相关的临床试验摘要。然后,我们开发了一种工具,该工具可提供注释后的临床试验信息概述,并能让用户按结局对试验进行分组。

结果

使用我们的可视化工具,我们形成了结局及其各自临床试验的分组。我们能够确定这些疾病临床试验中最常见的结局。作为糖尿病的案例研究,我们将我们的结局与糖尿病利益相关者认可的结局进行了比较,发现许多分组的结局与认可的结局一致。这表明本文所展示的此类工具有助于标准化临床结局,进而有助于临床试验的综合分析。最后,我们还提供了一些建议,这些建议有助于基于结局标准化实现临床试验的自动化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66c2/11789334/924ffb839e97/13104_2025_7121_Fig1_HTML.jpg

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